| NPI | 1215829197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016973A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032706) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2026-03-19 |