| NPI | 1124460498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010487) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-010487) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2024-09-27 |