| 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 |