| NPI | 1124494232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704372125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9287383) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-06-15 |