| NPI | 1053988246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012268A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F346395-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28271741A) | |
| 363L00000X Nurse Practitioner (Licence: IL 209.022808) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2026-05-27 |