| NPI | 1841990025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A173513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027227) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-04-15 |