| NPI | 1730325994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704241898) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2017-04-07 |