| NPI | 1497477608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013203A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704400340) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-10-29 |