| NPI | 1861745945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254886) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704262332) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704262332) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02169) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2023-08-08 |