| NPI | 1750655700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9408547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007624) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2015-06-17 |