| NPI | 1528657756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704325644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704325644) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI F12200407) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2022-01-05 |