| NPI | 1578448452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025033111) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |