| NPI | 1457504524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71002947A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209007298) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2016-08-10 |