| NPI | 1598309940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010562A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019833) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-09-14 |