| NPI | 1194100693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 47041544215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008343) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2023-10-09 |