| NPI | 1275792566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A105868) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2024-02-15 |