| NPI | 1841833217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019039564) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014314) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-08-18 |