| NPI | 1316247935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704187185) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4704187185) |
| 207Q00000X Family Medicine (Licence: MI 4704187185) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2021-05-25 |