| NPI | 1780297457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010334A) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-05-06 |