| NPI | 1598207375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015118) |
| 163W00000X Registered Nurse (Licence: IL 041294348) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2017-10-11 |