| NPI | 1760855571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041388825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 213028) |
| 363L00000X Nurse Practitioner (Licence: IN 28189002A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 213032) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-11-20 |