| NPI | 1679870075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9439449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003536A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009123) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003536A) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2021-03-25 |