| NPI | 1275134165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209021997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 14979) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-07-02 |