| NPI | 1760487839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-000723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-083274) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-02-05 |