| NPI | 1033627575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F06201766) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704274363) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2022-05-20 |