| NPI | 1861029928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145636) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-12-15 |