| NPI | 1154001790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028070) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71014123A) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-03-04 |