| NPI | 1063836468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011134) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2025-04-23 |