| NPI | 1487286548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.020605) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020605) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209020605) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-03-25 |