| NPI | 1497010615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704204948) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MI 4704204948) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-06-03 |