| NPI | 1417328675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28077700A) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2016-06-14 |