| NPI | 1124327440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704330546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168835) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP010658) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-10-10 |