| NPI | 1871661223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704185046) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-02499) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2015-08-14 |