| NPI | 1649815366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704330157) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704330157) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-08-06 |