| NPI | 1962851550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN815052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014041) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2019-01-28 |