| NPI | 1255582359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008504.041.38844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 7294) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 3511-33) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2018-03-17 |