| NPI | 1053493817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338220-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-004412) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-07-17 |