| NPI | 1033675087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 277.002260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.018733) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-02-08 |