| NPI | 1528428877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 272208) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704292671) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2022-08-29 |