| NPI | 1063133429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025865) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 209.025865) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-03-24 |