| NPI | 1992094742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015750) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010154) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2017-04-18 |