| NPI | 1265418313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 727466) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-08-18 |