| NPI | 1881409803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704287714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11034890) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |