| NPI | 1427343789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704292244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704292244nsa190uv) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2025-02-20 |