| NPI | 1821585613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011369A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI TBD) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2021-12-02 |