| NPI | 1205581717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN315041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 2021106395) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-03-10 |