| NPI | 1083968432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704271314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704271314) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2016-11-01 |