| NPI | 1992482632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704303806) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704303806NSA230H3) |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2023-10-11 |