| NPI | 1639621071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014944) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2021-08-09 |