| NPI | 1144842709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704224057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704224057) |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2024-04-30 |