| NPI | 1043763477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704275702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP144199) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-02-24 |