| NPI | 1508306952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017430) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016044352) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 2016044352) | |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2022-09-12 |