| NPI | 1497106017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041400926) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209014924) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-10-30 |