| NPI | 1609365014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012685A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016551) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-06-27 |