| NPI | 1104344431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 209.016380) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016380) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-11-13 |