| NPI | 1801354931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704379014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10065735) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11000948) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2026-08-19 |