| NPI | 1598073454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9476191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704231498) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-10-28 |