| NPI | 1831460666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003852A) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2025-06-30 |