| NPI | 1265618029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13079) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2022-07-21 |