| NPI | 1689185282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2359076) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2022-03-25 |