| NPI | 1013498294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343461) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-03-29 |