| NPI | 1689769283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9449815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704232579) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-03-27 |