| NPI | 1083377196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041441899) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-03-22 |