| NPI | 1720262652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006925) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-11-05 |