| NPI | 1033626841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10017866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704299579) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2025-01-19 |