| NPI | 1336180470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001933A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005464) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-09-28 |