| NPI | 1013467786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704362982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60672864) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-04-24 |