| NPI | 1699220194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007357A) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-02-23 |