| NPI | 1669907457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9286482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704277353) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2022-11-18 |