| NPI | 1821264342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209022301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3397282) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-11-13 |