| NPI | 1881367167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704410658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023306) |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2024-08-18 |