| NPI | 1588443444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015239A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704309769) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-05-15 |