| NPI | 1528477015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011686) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2023-05-19 |