| NPI | 1356892624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704270539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005200) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-10-28 |