| NPI | 1942822556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704286725) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704286725) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179335) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 212399) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2022-12-01 |