| NPI | 1326709155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 21294030501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 21293030501) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |