| NPI | 1457742355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006266A) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2016-06-14 |