| NPI | 1205386174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014803) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704423710) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-02-27 |