| NPI | 1518520998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207981) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL F04190151) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2022-09-08 |