| NPI | 1275007544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F01190098) |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2026-03-17 |