| NPI | 1679119945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003794) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 277.003794) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A182884) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2025-03-24 |