| NPI | 1437507308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176982) |
| 163W00000X Registered Nurse (Licence: VA 0001236277) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-03-14 |