| NPI | 1679120273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI F10191097) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704261531) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-06-15 |