| NPI | 1265131031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013626A) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-05-04 |