| NPI | 1952059065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704412362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001257791) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2025-01-03 |