| NPI | 1669233292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704334358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704334358) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-11-08 |