| NPI | 1952326795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 278391-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02488) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-03-16 |