| NPI | 1760834006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014300) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-03-06 |