| NPI | 1427729979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704257000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 470425700) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-05-23 |