| NPI | 1053403733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704209364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 209364) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-04-10 |