| NPI | 1427504992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704309831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN260821) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-10-18 |