| NPI | 1841804424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 470431491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704314915) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-02-10 |