| NPI | 1033125802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704154939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 2997) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-07-19 |