| NPI | 1700400017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209021341) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-06-09 |