| NPI | 1528496437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013021883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010608) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2024-06-03 |