| NPI | 1043844574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011311A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2019074056) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2022-10-05 |