| NPI | 1750482592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9387040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209000138) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-05-09 |