| NPI | 1487907739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704181584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.17960) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-11-27 |