| NPI | 1801398326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.017038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71010112A) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2021-03-16 |