| NPI | 1407816143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704131564) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 470413564) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2017-02-01 |