| NPI | 1861002180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704285273) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704285273) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2022-10-20 |