| NPI | 1689844201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250043NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004667) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2020-09-28 |