| NPI | 1427253368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704275303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002732) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-12-27 |