| NPI | 1205221587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015007282) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-09-10 |