| NPI | 1518499664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-015360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015360) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-05-05 |