| NPI | 1205688280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.504616) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-07-02 |