| NPI | 1245749563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209015939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71008084) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2024-10-01 |