| NPI | 1902174089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5225) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041356377) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2020-11-18 |