| NPI | 1861866923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704316935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013993A) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2023-07-05 |