| NPI | 1386232171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704164239) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704164239) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |