| NPI | 1386178226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015885) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-03-18 |