| NPI | 1295185882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4017769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704271180) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704271180) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-06-20 |