| NPI | 1891350328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009028A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019145) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-06-27 |