| NPI | 1710489034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 226470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704308961) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704308961) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-08-08 |