| NPI | 1295436921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998481-NP) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-07-11 |