| NPI | 1205267036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013036183) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2023-11-03 |