| NPI | 1356885453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015164) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-09-08 |