| NPI | 1013340108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704269996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704269996) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-07-11 |