| NPI | 1538493184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267733) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704267733) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-11-14 |