| NPI | 1497020234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121553) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011936) | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-02-11 |