| NPI | 1427089614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005485) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-05-20 |