| NPI | 1609565324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1392633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026959) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |