| NPI | 1205313723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009399) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2025-09-12 |