| NPI | 1720352180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012008027) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2023-11-27 |