| NPI | 1659317675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN309424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 036068939) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-05-17 |