| NPI | 1386688505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 24138418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004460) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-05-15 |