| NPI | 1225526023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APrn11011962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704280808) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-03-22 |