| NPI | 1861063992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 296031) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-01-12 |