| NPI | 1427532746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994112) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95010948) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2020-10-05 |