| NPI | 1174032320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008287A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016594) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2019-11-08 |