| NPI | 1811524713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 209.019959) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209109959) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-03-28 |