| NPI | 1356765085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209011218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71004810A) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2022-01-11 |