| NPI | 1265081681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4017893) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-05-08 |