| NPI | 1588303085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704308242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2022004591) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-07-28 |