| NPI | 1215648514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026180) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.026180) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-05-14 |