| NPI | 1558795989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VI 13956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704265127) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2022-08-22 |