| NPI | 1386153625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704188818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026937) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-08-20 |