| NPI | 1396255063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001506A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209029996) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2025-08-04 |