| NPI | 1992329908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704317760) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704317760) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-06-14 |