| NPI | 1942386909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704194680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704194680) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-02-28 |