| NPI | 1588976930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277011047) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 277001047) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209007610) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 209007610) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-06-29 |