| NPI | 1023627429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 68795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704257441) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-07-25 |