| NPI | 1992047971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.322163) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2018-02-12 |