| NPI | 1053799940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 230931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209012507) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-06-28 |