| NPI | 1164211397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704327710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F03250739) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-09-01 |