| NPI | 1699912840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-235287) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2018-06-19 |