| NPI | 1134617509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704295332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0120715) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-12-03 |