| NPI | 1861424103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9233964) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-02-12 |