| NPI | 1851353932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704157118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704157118) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704157118) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-05-01 |