| NPI | 1871048470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704257255) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-12-01 |