| NPI | 1346807443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.425530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 122180) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-11-19 |