| NPI | 1598044034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704213325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016360) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2022-09-13 |