| NPI | 1598281487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041406684) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007330) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-11-11 |