| NPI | 1538305792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704225093) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704225093) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2020-03-11 |