| NPI | 1821645607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 823027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019913) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-10-15 |