| NPI | 1487297271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 970833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020227) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |