| NPI | 1760808638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010231) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2024-03-14 |