| NPI | 1770082737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018006299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017224) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-03-28 |