| NPI | 1770685620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704175100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031410) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN NP71014218A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024553) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2025-04-22 |