| NPI | 1316372980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704240894) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704240894) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4707240894) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704240894) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2016-11-29 |