| NPI | 1871256396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704394707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348430) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-07-20 |