| NPI | 1033821996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704330311) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704330311) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2025-06-29 |