| NPI | 1801462072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008994) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-01-12 |