| NPI | 1265706790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704348204) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD 148944) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-12-28 |