| NPI | 1194359562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A161611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020843) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-12-19 |