| NPI | 1437699717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8607-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704267947) |
| 163W00000X Registered Nurse (Licence: WI 243532-30) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267947) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-10-04 |