| NPI | 1306277405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004822A) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2022-12-19 |