| NPI | 1124646476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704268213) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI F06201915) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-07-28 |