| NPI | 1801174701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003842a) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2022-06-16 |