| NPI | 1861658445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.004210) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001153A) |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2011-10-10 |