| NPI | 1114417615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 882636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017607) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-06-24 |