| NPI | 1154154581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029743) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-09-25 |