| NPI | 1164764155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 470195740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28142683A) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-04-29 |