| NPI | 1053454447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704175148) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704175148) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-09-27 |