| NPI | 1861108383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704400898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR 219417) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-07-10 |