| NPI | 1851013940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1064331) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-10-12 |