| NPI | 1285978718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-113993) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2022-03-04 |