| NPI | 1679710487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002800A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008072) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-08-08 |