| NPI | 1902502214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704330785) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704330785) |
| 363L00000X Nurse Practitioner (Licence: MI 4704330785) | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-11-14 |