| NPI | 1912543257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.004471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A157148) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2025-09-25 |