| NPI | 1639302862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-119620) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2018-08-22 |