| NPI | 1932656568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014708) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-07-11 |