| NPI | 1760152755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011903B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025279) |
| 163W00000X Registered Nurse (Licence: IN 28210533A) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-02-07 |