| NPI | 1174752281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704239741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18530) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-09-30 |