| NPI | 1215580220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.422188) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-09-24 |