| NPI | 1275249427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024077) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-07-11 |