| NPI | 1720327166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010117) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.010117) |
| 363L00000X Nurse Practitioner (Licence: IN 28253213A) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-01-18 |