| NPI | 1053078915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024255) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2022-02-18 |