| NPI | 1225543614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016802) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1040759) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2022-04-13 |