| NPI | 1225293673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704215494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10009312) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-06-30 |