| NPI | 1134428683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 15230-33) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2024-10-14 |