| NPI | 1710598461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704267034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F06200975) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2024-07-12 |