| NPI | 1407807563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1309-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704152987) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2022-12-09 |