| NPI | 1972738359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004400A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007604) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2017-03-14 |