| NPI | 1851344022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704087701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 141206) |
| 363L00000X Nurse Practitioner (Licence: NC 800113) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-06-04 |