| NPI | 1659857886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209019979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008098A) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-12-31 |