| NPI | 1922573260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704248188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704248188) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-07-15 |