| NPI | 1508575846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.019567) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-06-04 |