| NPI | 1114374139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.351335) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-03-01 |