| NPI | 1164953352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277.001846) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209015555) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-01-13 |