| NPI | 1205117520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005293A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009028) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2017-03-15 |