| NPI | 1881325819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13004-33) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-12-10 |