| NPI | 1417321241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F07151215) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2020-10-21 |