| NPI | 1982741724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11012147) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704170196) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-02-28 |