| NPI | 1952524241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209006456) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 8278-33) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-01-28 |