| NPI | 1487011144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013807) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 209.013807) |
| 363L00000X Nurse Practitioner (Licence: IL 209013807) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2021-12-21 |