| NPI | 1992145981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209011498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9360552) |
| 363LF0000X Nurse Practitioner Family (Licence: WI 5732-33) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2015-01-22 |