| NPI | 1801195466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010040) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041407260) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 309010804) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-02-13 |