| NPI | 1255926259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704313314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012645A) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2023-12-29 |