| NPI | 1609434539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 18034180204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012570A) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-10-23 |