| NPI | 1275186397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-021317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A155588) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-04-14 |