| NPI | 1508326687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704291656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4704291656) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-02-13 |