| NPI | 1598477416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704245766) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704245766) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-01-19 |