| NPI | 1568791069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9167432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007485) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 3655) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-007485) | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2016-11-13 |