| NPI | 1720451099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013350) |
| Enumeration Date | 2015-11-08 |
| Last Update Date | 2024-09-16 |