| NPI | 1386158566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704181194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 81235) |
| 163WC0400X Registered Nurse, Case Management (Licence: MI 4704181194) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 21777) | |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2019-02-22 |