| NPI | 1164972055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71015908A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.014787) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-12-02 |