| NPI | 1831427467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A103901) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2024-07-01 |