| NPI | 1386686764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN- 1595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704194524) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-09-26 |