| NPI | 1528359528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704248241) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2025-07-01 |