| NPI | 1144992264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012255A) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-07-28 |