| NPI | 1740607332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022015) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IL 041406164) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2021-06-02 |