| NPI | 1831858992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704329538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704329538) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-03-17 |