| NPI | 1992355317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02166) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-12-01 |