| NPI | 1326310160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003940A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704317448) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2021-02-23 |