| NPI | 1285385377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704340785NSA220XB) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MI 4704340785) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-07-07 |