| NPI | 1275900912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 834067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013186) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-05-21 |