| NPI | 1841521630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003163A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011528) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2021-03-13 |