| NPI | 1114588076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009567A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041437122) |
| 163W00000X Registered Nurse (Licence: IN 28215273A) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-09-29 |