| NPI | 1003691585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.391087) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |