| NPI | 1629565130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008070A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704361829) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-04-04 |