| NPI | 1588185631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A109832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016294) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-07-27 |