| NPI | 1124478227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704253289) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704253289) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-07-27 |