| NPI | 1437244860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MI 4704106175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704106175) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704106175) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-09-16 |