| NPI | 1801232954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209010509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 99057031A) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-05-05 |