| NPI | 1013494236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 228172) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 877533) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2024-06-18 |