| NPI | 1649641747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009004A) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-04-28 |