| NPI | 1306665864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.031091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035846) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-01-07 |