| NPI | 1710517503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A157494) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-04-01 |