| NPI | 1285014043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704261075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 3764373) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-11-16 |