| NPI | 1588948996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007712A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209008961) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-05-15 |