| NPI | 1770907800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704215399) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2023-12-05 |