| NPI | 1023031978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001533A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007219) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-06-17 |