| NPI | 1316309958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76866) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-09-01 |