| NPI | 1538607742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016042747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015441) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-11-05 |