| NPI | 1477021160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704169802) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704169802) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-12-14 |