| NPI | 1427806926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704327170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704327170) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-31 |