| NPI | 1598219602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016444) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2021-02-05 |