| NPI | 1508405853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009730A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019918) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2024-03-11 |