| NPI | 1821559600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704301547) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL RN9613614) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-01-06 |