| NPI | 1487030326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201605698NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.415192) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005689A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013269) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-09-18 |