| NPI | 1194764969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9853) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005909) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-01-16 |