| NPI | 1720586688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704302022) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2019-01-03 |