| NPI | 1245722586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008338A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL F02180133) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2020-05-07 |