| NPI | 1851513071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 269800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-003850) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-07-31 |