| NPI | 1871956078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704282615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1625995) |
| 163W00000X Registered Nurse (Licence: MI 4704282615) | |
| 163W00000X Registered Nurse (Licence: NV RN84124) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-07-19 |