| NPI | 1316058357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704216622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704216622) |
| 363L00000X Nurse Practitioner (Licence: TN APN11969) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-10-01 |