| NPI | 1467145243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704312229NSA230F9) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI D41122147) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704312229) | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-07-31 |