| NPI | 1437207271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704180958) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704180958) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-10-10 |