| NPI | 1457922205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011448A) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2022-08-16 |