| NPI | 1235665076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001931) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-01-05 |