| NPI | 1912417031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007596A) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2026-03-27 |