| NPI | 1609549633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 2021104539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704263539) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-02-03 |