| NPI | 1972687978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704135672) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008849) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704135672) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-28 |