| NPI | 1659878635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017130) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 710094088A) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-09-24 |