| NPI | 1730646993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008793A) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2020-02-07 |