| NPI | 1932572419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704265847) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: MI 4704265847) |
| 163WH1000X Registered Nurse, Hospice (Licence: OH 420773) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-09-22 |