| NPI | 1841504438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 4704221666) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704221666) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2024-11-06 |