| NPI | 1477571347 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005489)  | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 306471)  | 
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2019-06-18 |