| NPI | 1982120416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704231509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN000021849) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN000021849) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN000021849) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-14 |