| NPI | 1376653303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704237499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704237499) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704237499) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-03-28 |