| NPI | 1871992966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005138A) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-02-11 |