| NPI | 1770133100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A156478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020389) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2025-01-23 |