| NPI | 1184187528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704259928) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2020-01-10 |