| NPI | 1134967649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15618-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704349153) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15618-33) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704349153) | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |