| NPI | 1336336155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002490A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704262103) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-05-03 |