| NPI | 1538718846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704313022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704313022) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-10-21 |