| NPI | 1801540034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012499A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704393582) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-04-28 |