| NPI | 1790452902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704347158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704347158) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2026-06-22 |