| NPI | 1205260718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704310223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672570-1) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2023-03-07 |