| NPI | 1982656393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 470-410-9488) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704109488) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-07-11 |