| NPI | 1891172029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704430353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144524) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 101318) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2025-10-06 |