| NPI | 1568567154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704239149) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704239149) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704239149) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704239149) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-09-24 |