| NPI | 1467195222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277004569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025078) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-07-16 |