| NPI | 1033652151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704285286) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP135111) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP135111) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-07-10 |