| NPI | 1932880622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704408073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 295480) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-02-28 |