| NPI | 1033496955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704202054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704202054) |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2023-06-06 |