| NPI | 1356797633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60639427) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-10-04 |