| NPI | 1831466143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28174281A) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-07-26 |