| NPI | 1811626211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61277716) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-11-05 |