| NPI | 1528555331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704271246) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704271246) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-06-16 |