| NPI | 1568842896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R234683) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704170772) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-01-24 |