| NPI | 1184916181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003576A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008566) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-05-04 |