| NPI | 1093095317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125081291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003650A) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-06-21 |