| NPI | 1619648334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28213693A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011689A) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-10-19 |