| NPI | 1194084400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704272597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704272597) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2023-01-20 |