| NPI | 1437214921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704235055) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704235055) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-08-09 |