| NPI | 1023393311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A160608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009134) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2024-04-18 |