| NPI | 1225306830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005969A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009232) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2020-09-15 |