| NPI | 1831636935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 811684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F01171000) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-10-28 |