| NPI | 1871957985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704278418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704278418) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-11-10 |