| NPI | 1346956828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209026667) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-04-06 |