| NPI | 1700525771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704308924) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704308924) |
| Enumeration Date | 2022-05-29 |
| Last Update Date | 2025-07-25 |