| NPI | 1558384487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023170) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 333962) | |
| 363L00000X Nurse Practitioner (Licence: MD R171561) | |
| 363L00000X Nurse Practitioner (Licence: PA SP006072B) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-03-16 |