| NPI | 1881829125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2005001438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005323) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |