| NPI | 1255655510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704230297) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MI 4704230297) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 3007458) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2023-08-09 |