| NPI | 1861945057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340786) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340786-1) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-10-22 |