| NPI | 1174048854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704295851) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-03-01 |