| NPI | 1013398379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012380) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-10-12 |