| NPI | 1447885009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704325966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014384) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-05-01 |