| NPI | 1205301678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704317816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4704317816) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-08-13 |