| NPI | 1033504543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704253931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301709) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-06-16 |