| NPI | 1386294262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177853) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-02-06 |