| NPI | 1396340915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F10200602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347091) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-02-12 |