| NPI | 1447638887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012774) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-08-26 |