| NPI | 1710547591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009800A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019364) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-04-15 |