| NPI | 1457743569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012340) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN205212) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-04-30 |