| NPI | 1689391039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026876) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-10-22 |