| NPI | 1548554090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704402770) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: NC 5005178) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-12-02 |