| NPI | 1083253587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020324) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2024-12-11 |