| NPI | 1215936315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000102A) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-01-20 |