| NPI | 1437155488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704084045) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704084045) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704084045) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2017-04-07 |