| NPI | 1366843013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704233146) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704233146) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: MI 4704233146) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-06-22 |