| NPI | 1215412416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704227963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI F08180197) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-09-02 |