| NPI | 1558889188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8160) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016304) | |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2024-02-19 |