| NPI | 1700331030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014694) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-02-01 |