| NPI | 1336856764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013258A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704264620) |
| 207R00000X Internal Medicine (Licence: IN 71013258A) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-08-23 |