| NPI | 1215714449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030778) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71016600A) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-06-18 |