| NPI | 1518524032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016204A) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-03-14 |