| NPI | 1518383264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011436) |
| 163W00000X Registered Nurse (Licence: IL 041.353295) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2018-12-26 |