| NPI | 1700351723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014166) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2022-06-03 |