| NPI | 1447241229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704154971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704154971) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2025-04-15 |