| NPI | 1750669230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003917A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008886) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2021-03-23 |