| NPI | 1164030243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010744A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704308995) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-01-25 |