| NPI | 1598015299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704238172) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2021-02-26 |