| NPI | 1295137842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006056A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011582) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-06-22 |