| NPI | 1447766621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017031142) |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2022-06-08 |