| NPI | 1699304675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013049) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2022-06-08 |