| NPI | 1881169183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011607A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018291) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-11-30 |