| NPI | 1891277646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009454A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017978) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-10-14 |