| NPI | 1205573060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012736A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041393398) |
| 363L00000X Nurse Practitioner (Licence: KY 3017786) | |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-04-22 |