| NPI | 1184032559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.011634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011634) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2019-12-20 |