| NPI | 1942854526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209019668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019668) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-11-21 |