| NPI | 1093156010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704254580) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-10-01 |