| NPI | 1528501921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704377694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025082) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2022-07-28 |