| NPI | 1316647753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023007983) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-03-19 |