| NPI | 1093254443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015188) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2021-05-03 |