| NPI | 1003285032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013054) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209013054) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-03-25 |