| NPI | 1538585252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704295810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95000229) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |