| NPI | 1699047894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704232189) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2021-08-12 |