| NPI | 1619429933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 813525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015079) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-10-09 |