| NPI | 1750799920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9469325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011292) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-03-17 |