| NPI | 1013456334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005480) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342228) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2021-02-02 |