| NPI | 1659710168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704367797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R186339) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R186335) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-04-04 |