| NPI | 1306328406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN217126) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-01-16 |