| NPI | 1093486615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011600A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023205) |
| 363L00000X Nurse Practitioner (Licence: IN 71011600A) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-01-12 |