| NPI | 1093354243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015098A) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2025-02-11 |