| NPI | 1255099263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013308A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041401225) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024505) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-12-04 |