| NPI | 1790886257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-010163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 70000128a) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-04-09 |