| NPI | 1750988432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209023235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI F10200299) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-01-11 |