| NPI | 1720576986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008252A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-017275) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-04-27 |