| NPI | 1326460759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011173) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2019-02-11 |