| NPI | 1093156770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2013007118) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-04-03 |