| NPI | 1003026279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209005068) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-05-18 |