| NPI | 1689101172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017003582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015677) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2021-09-17 |