| NPI | 1427545086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007971A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016845) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-10-21 |