| NPI | 1972221190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704342714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704342714) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704342714) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-06-08 |