| NPI | 1235488271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006872A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008147) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209008147) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2022-02-10 |