| NPI | 1326346057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012024136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008688) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-08-07 |