| NPI | 1821012923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704270364) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-03-15 |