| NPI | 1922417161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704265493) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016188) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2022-03-28 |