| NPI | 1275917817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 231201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-012787) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2021-02-18 |