| NPI | 1063851830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018003099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010482) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-03-01 |