| NPI | 1184083974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F0116541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704235620) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-23 |