| NPI | 1003264961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2299321) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-04-27 |