| NPI | 1851051528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11585-33) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-08-18 |