| NPI | 1356824841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704303749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-175737) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-06-15 |