| NPI | 1942497045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN001566) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704174164) |
| 363L00000X Nurse Practitioner (Licence: NV APRN001566) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704174164) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-11-04 |