| NPI | 1477134682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 2021103585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704318844) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-09-27 |