| NPI | 1154177269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704310806) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0037431) |
| 163W00000X Registered Nurse (Licence: MI 4704310806) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-11-06 |