| NPI | 1326504135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019005040) |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2023-02-08 |