| NPI | 1538573225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704234242) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN133131) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-05-17 |