| NPI | 1174025357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017288) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2019-11-19 |