| NPI | 1902951957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV apn 0488) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-07-21 |