| NPI | 1225501356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041358443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017998) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008683A) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-08-01 |