| NPI | 1942811179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021603) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-09-04 |