| NPI | 1083156376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28189189A) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2018-06-13 |