| NPI | 1427447895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6219-33) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-09-15 |