| NPI | 1922506948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704279479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28240769A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007815A) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-09-08 |