| NPI | 1194006858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704254879) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-02-04 |