| NPI | 1093073041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 272010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704245947) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-11-18 |