| NPI | 1871598243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001231A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704277511) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-11-11 |