| NPI | 1689990590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A161176) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02810) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 700698) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-04-27 |