| NPI | 1922302348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704153637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704153637) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2022-07-17 |