| NPI | 1649770652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704288025) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI F01181495) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-05-09 |