| NPI | 1518211234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1674312) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2022-09-29 |