| NPI | 1801299359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7518943-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001884) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-05-02 |