| NPI | 1073177960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019357) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-07-01 |