| NPI | 1326612136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1071325) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-02-16 |