| NPI | 1316592256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018725) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018725) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-01-18 |