| NPI | 1457808644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704347087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006503A) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-12-27 |