| NPI | 1124190590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209030215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 110580) |
| 363LF0000X Nurse Practitioner Family (Licence: MT 120113) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-09-18 |