| NPI | 1265980023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704238010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704238010) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-06-11 |