| NPI | 1093865032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704303193) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 049613455) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN124898) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-06-22 |