| NPI | 1841705639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A115064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041402327) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2025-06-16 |