| NPI | 1255956652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020006148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020929) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-07-25 |