| NPI | 1275399081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704352323) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2026-02-05 |