| NPI | 1770950123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28253525A) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2024-03-14 |