| NPI | 1689006926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704244817) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2024-09-24 |