| NPI | 1891054458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704206107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28125230A) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-08-15 |