| NPI | 1144953902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704393829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 1609362375) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-03-08 |