| NPI | 1710326814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704299445) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-01-21 |