| NPI | 1851568554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R224931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R224931) |
| 363L00000X Nurse Practitioner (Licence: MI 4704231709) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704231709) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704231709) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2022-08-16 |