| NPI | 1568830404 |
|---|---|
| Former Name | GRETA JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 1568830404) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209013110) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2018-02-08 |