| NPI | 1124491949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013507) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009897) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2022-09-07 |