| NPI | 1639684178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253566) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015369A) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-07-03 |