| NPI | 1942575188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014127A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027953) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71014127A) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2024-04-10 |