| NPI | 1376505479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209001718) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001718) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277000114) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-08-02 |