| NPI | 1285286195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA np95028766) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704318637) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-07-10 |