| NPI | 1609455591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11786-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022574) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-09-28 |