| NPI | 1831505833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704300253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704300253) |
| 163W00000X Registered Nurse (Licence: MI 4704300253) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-02-27 |