| NPI | 1245764737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704242202) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MI 4704242202) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704242202) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704242202) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-03-09 |