| NPI | 1386686996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704122848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 99007554) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71001517A) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-10-14 |