| NPI | 1407959547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 25827422) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-12-08 |