| NPI | 1750730834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704338084) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R43090) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2017-12-12 |