| NPI | 1902163942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-009486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001005020) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-02-07 |