| NPI | 1922614411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016952) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704326451) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3231) | |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2023-06-08 |