| NPI | 1760855571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041388825) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28189002A) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-10-05 |