| NPI | 1033607999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704263156) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-06-02 |