| NPI | 1205825429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704303374) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-09-14 |