| NPI | 1568248102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704242946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704249646) |
| 251B00000X Case Management | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-10-21 |