| NPI | 1427692607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704318482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704318482) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-11-10 |