| NPI | 1083966220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704177424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704177424) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2016-08-26 |