| NPI | 1033494349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN210856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704285879) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2015-03-02 |