| NPI | 1851805253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209016562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95019364) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2024-06-27 |