| NPI | 1598475089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209026449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209026449) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2024-05-02 |