| NPI | 1013482363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704305979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010137) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-04-19 |