| NPI | 1306128285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 854884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209009059) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-01-22 |