| NPI | 1942703285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8158-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-016672) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |