| NPI | 1972897791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008856) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-10-19 |