| NPI | 1568814432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014644) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A178667) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-05-01 |