| NPI | 1164936357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN230051) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2023-03-21 |