| NPI | 1740210004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 11756) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-11-04 |