| NPI | 1093251878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704300071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704300071) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2021-04-30 |