| NPI | 1306864806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209006743) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP329599) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-06-27 |