| NPI | 1285071480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A133590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041436577) |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2012042885) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2015-11-19 |