| NPI | 1134769797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021431) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TX 878839) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-02-20 |