| NPI | 1366793168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704293777) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: MI 4704293777) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2022-08-15 |