| NPI | 1063229920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704340818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F11240201) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-09-18 |