| NPI | 1740593268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71012713A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-000320) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.008243) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-02-24 |