| NPI | 1972564458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704217633) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: MI 4704217633) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704217633) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-07-08 |