| NPI | 1376611863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704123587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704123587) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-01-30 |