| NPI | 1083002133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6504) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2019-11-07 |