| NPI | 1518231232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704237357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704237357) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 1704237357) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2022-03-23 |