| NPI | 1033773478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60909562) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-05-28 |