| NPI | 1396738506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9286630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704224985) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-03-07 |