| NPI | 1659015717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F02220547) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MI 4704242867) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 470424867NSA2204L) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030909) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-11-03 |