| NPI | 1063921534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28258423C) |
| 163W00000X Registered Nurse (Licence: IL 041368901) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012656A) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-09-19 |