| NPI | 1538565361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-015932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28166317A) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2017-10-20 |