| NPI | 1780109959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60968845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016278) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2019-10-15 |