| NPI | 1093021701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9379799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704220660) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-02-14 |