| NPI | 1598205106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704245340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704245340) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2026-03-06 |