| NPI | 1467843326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014015287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011715) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |