| NPI | 1053855908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015150) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-06-15 |