| NPI | 1801341821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704276382) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4704276382) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-11-16 |