| NPI | 1558878181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.402882) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016769) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-07-20 |