| NPI | 1891314845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020618) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2022-03-25 |