| NPI | 1508215450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9487298) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.014329) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2020-05-06 |