| NPI | 1871245977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 2022090778) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704309551) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2023-01-15 |