| NPI | 1770180796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011864a) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 209021059) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2022-07-24 |