| NPI | 1487199329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704208079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F1116242) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2025-06-16 |