| NPI | 1891439592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 286811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704235250) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-06-27 |