| NPI | 1982017976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013031608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012778) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2022-04-01 |