| NPI | 1922690577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704320253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704320253) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2022-07-29 |