| NPI | 1922710441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28234392A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013442A) | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-10-10 |