| NPI | 1689197147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014248A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041378331) |
| 363L00000X Nurse Practitioner (Licence: IL 209016582) | |
| 163WG0000X Registered Nurse, General Practice (Licence: IN 28228659A) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-10-17 |