| NPI | 1144877077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9521-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020093) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-10-16 |