| NPI | 1730514316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28101863A) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2016-02-29 |