| NPI | 1467289389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704373556) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 23186101603) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-11-17 |