| NPI | 1407527286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704392939) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN60970105) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-01-31 |