| NPI | 1972859874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-009161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009161041339077) |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2022-05-17 |