| NPI | 1942574769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002085) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2024-03-11 |