| NPI | 1578167243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28226058A) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2025-03-13 |