| NPI | 1598058893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704153479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2010009048) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2024-06-24 |