| NPI | 1881133114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006877A) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2021-06-10 |