| NPI | 1205690690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704217456NSA230P5) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MI 4704217456) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |