| NPI | 1548509110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209010180) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-010180) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2025-02-21 |