| NPI | 1780358457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011974A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272995) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-12-10 |