| NPI | 1497345359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010828A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704377817) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016536) | |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-08-18 |