| NPI | 1396992962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006920) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-01-28 |