| NPI | 1265507487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001536A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006314) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-01-24 |