| NPI | 1154749620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14824) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-03-12 |