| NPI | 1053146225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704264456) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: FL RN9287905) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-12-29 |