| NPI | 1821822123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 83911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704288331) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-07-14 |