| NPI | 1477744183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008804) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP123742) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-03-09 |