| NPI | 1609380328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F0916192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704249854) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2025-03-14 |