| NPI | 1003368606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006882A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F1016781) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2024-04-10 |