| NPI | 1134585268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201609389NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041382963) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-11-20 |