| NPI | 1447260054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28138675A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704299476) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-11-02 |