| NPI | 1033123278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004124) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704232418) |
| 163W00000X Registered Nurse (Licence: NC 223141) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-05-11 |