| NPI | 1922650787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F05190099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704297840) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 000012459474) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2018078420) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-09-03 |