| NPI | 1346489234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 470413204) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704132604) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2012-12-03 |