| NPI | 1952777153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704325915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP7978) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-12-28 |