| NPI | 1043709660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017133) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |