| NPI | 1184207276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704326587) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704326587NSA21098) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-03-10 |