| NPI | 1033403118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704257684) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP14500) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704257684) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP14500) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |