| NPI | 1184172140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007626A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014412) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-04-24 |