| NPI | 1497355010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704223797) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MI 4704223797) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |