| NPI | 1831612217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704389144) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2318951) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-11-28 |