| NPI | 1730578964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.007928) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-07-22 |