| NPI | 1841230752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202100030NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-000531) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-06-14 |