| NPI | 1144306192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9490434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704179085) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-10-30 |